Organization Active NPI

Bright Dental Inc

  • Dentist
  • Placenta, CA
National Provider Identifier
1679796312
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
38077 Issued in CA
Legal business name
BRIGHT DENTAL INC
Practice address
1222 East Yorba Linda Blvd
Placenta, CA 92870-3832
Phone
(714) 528-9558
Fax
(714) 528-9538
NPI assigned
Apr 11, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Chang Yen Lin, DDS
Title
President
Phone
(714) 528-9558

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 38077 CA Primary

Addresses

Primary practice location

1222 East Yorba Linda Blvd
Placenta, CA 92870-3832

Mailing address

1222 East Yorba Linda Blvd
Placenta, CA 92870-3832
Phone (714) 528-9558

National Provider Directory

National Provider Directory

Locations

1222 E Yorba Linda Blvd
Placentia, CA 92870
Phone (714) 528-9558

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679796312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 EAST YORBA LINDA BLVD",
            "city": "PLACENTA",
            "state": "CA",
            "postal_code": "928703832",
            "telephone_number": "714-528-9558",
            "fax_number": "714-528-9538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 EAST YORBA LINDA BLVD",
            "city": "PLACENTA",
            "state": "CA",
            "postal_code": "928703832",
            "telephone_number": "714-528-9558",
            "fax_number": "714-528-9538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "CHANG YEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-528-9558",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "38077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.